| NPI | 1770357253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6362009703) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6451022810) |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2023-11-14 |